School Name:
District
School Type:
Rhode Island Public
Other Public
Private
Contact Name:
Title:
School Phone:
School Fax:
E-Mail:
School Address:
Group Type:
(ie: Grade, Scouts, History, Math, etc.)
How Many Groups?
# Per Group?
What is your port
of preference?
Newport
Providence
Quonset
Bristol/Warren
Are you interested
in a shoreside activity?
Yes
No
Preferred Dates:
(00/00/00)
Choice 1:
Choice 2:
Choice 3:
